Application #: ___________(please leave blank)

 

2008 DIPSEA RACE FOUNDATION SCHOLARSHIP

OFFICIAL APPLICATION FORM

 

 

Student Name              ___________________________________________________

                                    Last                              First                             Middle Initial

 

Address:                       ___________________________________________________

                                    Number & Street

 

                                    ___________________________________________________

                                    City                                                                  Zip Code

 

                                    ________________________    _________________________

                                    Students Home Telephone #         Student Social Security #

 

                                    ___________________________________________________

                                    Contact E-mail Address

 

Name of Parent

or Guardian:                 ___________________________________________________

 

Student’s School:            ___________________________________________________

 

School Principal:            ___________________________________________________                                          Name                                                               Telephone #

 

Team Head Coach:            ___________________________________________________                                          Name                                                               Telephone #

Student’s

Participation:                 ___________________________________________________                                          ___________________________________________________

                                    List position on team(s) (i.e., 200 meter runner, triple jump specialist, volunteer,

                                                Equipment manager, etc.)  List events participated in and placing, times, including

                                                Awards.  Attach as an exhibit to this application if necessary.

 

SUBMIT COMPLETED                      THE DIPSEA RACE FOUNDATION

APPLICATIONS  BY MAY 1 TO:  Post Office Box 10

                                                             Mill Valley, CA 94942

 

This Section Below is For Official Use Only

 

Date Received: _____________________                  Received by:________________

(School.cov)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How To Complete Scholarship Application

 

In addition to the official application form, students seeking a Dipsea Race Foundation scholarship should provide the following items:

 

1- School transcripts of scholastic record;

2- Evidence of community leadership or participation in volunteer activities;

3- An essay that reveals some aspect of your personal relationship with the Dipsea Race          

    and/or trail;

4- Explanation of your financial need for a scholarship;

5- Athletic records of your sports performance for the last several years AND/OR list of

    extra-curricular activities pursued;

6- Years in which you ran the race or were a Dipsea Race volunteer (please include the

     volunteer jobs you performed);

7- Letters of recommendation.

 

Completed Scholarship Applications must be received by May 1st.

 

Please read the qualifications carefully, and if you have questions, contact the scholarship coordinator, Julie Hauke at (415) 898-­1130.